Individual provider Active NPI

Alissa Nichole Thompson, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1770101420
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209026304 Issued in IL
Practice address
2545 W Diversey Ave Ste 214
Chicago, IL 60647-7408
Phone
(773) 257-3435
NPI assigned
Jul 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209026304 IL Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 041434677 IL

Addresses

Primary practice location

2545 W Diversey Ave Ste 214
Chicago, IL 60647-7408

Mailing address

4000 W Montrose Ave # 618
Chicago, IL 60641-2140
Phone (773) 257-3435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230822002210 IL Practitioner - Nurse Practitioner 3971965062 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041434677ILMDPsychiatric/Mental Health Registered Nurse
209026304ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Clinical Services, P.C. Psychiatric/Mental Health CurrentSince Aug 7, 2023 Accepting new patients
Symetria Health of Texas, LLC CurrentSince Jul 24, 2025 Accepting new patients
Soft Landing Interventions, LLC CurrentSince May 12, 2025 Accepting new patients
Psychology Specialists LTD Past Accepting new patients
Middlepath Integrative and Fuctional Psychiatry Psychiatric/Mental Health PastSince Nov 18, 2025 Accepting new patients

Locations

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007

3976 N Avondale Ave
Fl 2
Chicago, IL 60641
Phone (312) 319-4162

2845 N Sheridan Rd
Ste 809
Chicago, IL 60657
Phone (312) 761-4721

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

3027 English Rows Ave
Ste 201
Naperville, IL 60564

830 W End Ct
Ste 900
Vernon Hills, IL 60061
Phone (847) 247-8783

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1770101420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W MONTROSE AVE # 618",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412140",
            "telephone_number": "773-257-3435",
            "fax_number": "331-204-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 W DIVERSEY AVE STE 214",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606477408",
            "telephone_number": "773-257-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ALISSA",
        "middle_name": "NICHOLE",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209026304",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041434677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.